AU2007213194A1 - Therapeutic agent for inflammatory bowel disease comprising 2-amino-1,3-propanaediol derivative as active ingredient, and method for treatment of inflammatory bowel disease - Google Patents

Therapeutic agent for inflammatory bowel disease comprising 2-amino-1,3-propanaediol derivative as active ingredient, and method for treatment of inflammatory bowel disease Download PDF

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AU2007213194A1
AU2007213194A1 AU2007213194A AU2007213194A AU2007213194A1 AU 2007213194 A1 AU2007213194 A1 AU 2007213194A1 AU 2007213194 A AU2007213194 A AU 2007213194A AU 2007213194 A AU2007213194 A AU 2007213194A AU 2007213194 A1 AU2007213194 A1 AU 2007213194A1
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inflammatory bowel
disease
halogen atom
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Ryotaro Kojima
Koichi Nakamaru
Tokutarou Yasue
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Kyorin Pharmaceutical Co Ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/13Amines
    • A61K31/135Amines having aromatic rings, e.g. ketamine, nortriptyline
    • A61K31/137Arylalkylamines, e.g. amphetamine, epinephrine, salbutamol, ephedrine or methadone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K45/00Medicinal preparations containing active ingredients not provided for in groups A61K31/00 - A61K41/00
    • A61K45/06Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P1/00Drugs for disorders of the alimentary tract or the digestive system
    • A61P1/04Drugs for disorders of the alimentary tract or the digestive system for ulcers, gastritis or reflux esophagitis, e.g. antacids, inhibitors of acid secretion, mucosal protectants
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P43/00Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00

Description

VERIFICATION OF TRANSLATION I, Hiroyuki Takano of 721, Marunouchi-Nakadori bldg., 2-3, Marunouchi 2-chome, Chiyoda-ku, Tokyo, 100-0005 JAPAN, am the translator of International Patent Application No. PCT/JP2007/051887 and I state that the following is a true translation to the best of my knowledge and belief. (Signature of Translator) ____ Hiroyuki Takano (Dated) 3, d DESCRIPTION THERAPEUTIC AGENT FOR INFLAMMATORY BOWEL DISEASE CONTAINING AS ACTIVE INGREDIENT 2-AMINO-1,3-PROPANEDIOL DERIVATIVE, OR METHOD FOR TREATING INFLAMMATORY BOWEL DISEASE 5 TECHNICAL FIELD [0001] The present invention relates to a therapeutic agent for inflammatory bowel diseases that contains, as an active ingredient, 2-amino-1,3-propanediol derivative, a sphingosine-1-phosphate 10 receptor agonist, or a pharmaceutically acceptable salt or hydrate thereof. Thepresent inventionalsorelatestoamethodfortreating inflammatory bowel diseases. BACKGROUND ART [0002] 15 Inflammatory bowel diseases, represented by Crohn's disease and ulcerative colitis, are intractable diseases that often develop at relatively young ages and cause abdominal pain, fever, diarrhea, hematocheziaandothersymptoms. Crohn's disease is agranulomatous inflammatory disease of unknown cause that affects any part of the 20 gastrointestinal tract frommouth to anus in a discontinuous manner. The disease progresses from ulcer to fibrosis and stricture, involving all layers of the bowel wall from mucosa to serosa. It is associated with systemic symptoms such as abdominal pain, chronic diarrhea, fever and malnutrition. On the other hand, ulcerative 25 colitis is characterized by diffuse nonspecific inflammation of 1 the large intestine of unknown cause. The disease primarily affects mucosa and often forms erosions and ulcers. It is also associated with various systemic symptoms including bloody diarrhea. Inflammatory bowl disease also refers to other inflammatory 5 disorders in small and large intestines, including intestinal Behcet's disease, ulcerative colitis, bleeding rectal ulcer and pouchitis. Althoughitisbelievedthattheetiologyofinflammatory bowel diseases involves abnormal immune function, the exact cause of the diseases still remains unknown (Non-Patent Documents 1 and 10 2). [0003] Medications for inflammatory bowel diseases include immunosuppressors, steroids, salazosulfapyridine and mesalazine. While immunosuppressors, in particular antimetabolites such as 15 azathiopurine and 6-mercaptopurine, are considered effective against Crohn's disease, the drugs exhibit low efficacy at an early stage of administration and often cause allergies, pancreatitis, leukopenia and other side effects. High doses of cyclosporine are effective against inflammatory and fistulous diseases, but the drug 20 cannotbeusedforaprolongedperiodduetoitstoxicity. Infliximab, a monoclonal antibody that inhibits a tumor necrosis factor, is administered by intravenous infusion to treat moderate or serious Crohn'sdisease (especially those accompanied by fistula) resistant to other treatments. However, long-term effects and side effects 25 of the treatment are unknown. Other potential immunosuppressors 2 include interleukin-1 blockers, anti-interleukin-12 antibodies, anti-CD4 antibodies, adhesive molecule inhibitors, and monoclonal antibodies against down-regulatory cytokines and tumor necrosis factors. Each of the current therapeutic approaches for the 5 treatment of inflammatory bowel diseases has its own disadvantages. Thus, there is a need for more effective and safe medications (Non-Patent Documents 3, 4 and 5). [0004] 2-amino-1,3-propanediol derivatives described in the present 10 applicationare known as effective immunosuppressors usedtoprevent rejection in organ transplantation (Patent Literatures No. 1 and 2). While 2-amino-l,3-propanediol derivatives have been known to act as sphingosine-l-phosphate receptor agonists, their usefulness in the treatment of inflammatory bowel diseases has never been 15 described. [Non-Patent Document 1] 1997 Annual Report by the Research Committee of Intractable Inflammatory Bowel Disorders: The Ministry of Health and Welfare of Japan. [Non-Patent Document 2] New Engl J Med, 2002, 347: 417-429 20 [Non-Patent Document 3] Am J Gastroenterol, 2001, 96: 1977-1997 [Non-Patent Document 4] Nucl Med Commun, 2005, 26:649-655 [Non-Patent Document 5] Saishin Igaku 2004,59:1070-1075 [Patent Document 1] WO2003/029184 Pamphlet [Patent Document 2] WO2003/029205 Pamphlet 25 DISCLOSURE OF THE INVENTION 3 PROBLEMS TO BE SOLVED BY THE INVENTION [0005] It is an objective of the present invention to provide a therapeutic agent for the treatment of inflammatory bowel diseases 5 that contains, as an active ingredient, a 2-amino-l,3-propanediol derivative, or a pharmaceutically acceptable salt or hydrate thereof. It is another objective to provide a method for treating inflammatory bowel diseases. MEANS FOR SOLVING THE PROBLEMS 10 [0006] The present inventors discovered that a 2-amino-1,3-propanediol derivative, a sphingosine-l-phosphate receptor agonist, or a pharmaceutically acceptable salt or hydrate thereof is useful in the treatment or prevention of inflammatory 15 boweldiseases (Crohn'sdisease, Crohn'sdisease inlarge intestine, intestinal Behcet's disease, ulcerative colitis, bleeding rectal ulcer and pouchitis) and thus devised the present invention. [0007] Specifically, the present invention concerns the following: 20 1) A therapeutic or prophylactic agent for an inflammatory bowel disease containing, as an active ingredient, a 2-amino-l,3-propanediol derivative represented by the chemical formula (1): [0008] 25 (Chemical formula 1) 4 Rt X (CHgn NH (1 ~(1) t1 2 [0009] [wherein R is ahalogenatom, atrihalomethyl group, ahydroxygroup, a lower alkyl group having 1 to 7 carbon atoms, a substituted or 5 unsubstituted phenyl group, an aralkyl group, a lower alkoxy group having 1 to 4 carbon atoms, a trifluoromethyloxy group, a phenoxy group, a cyclohexylmethyloxy group, a substituted or unsubstituted aralkyloxy group, a pyridylmethyloxy group, a cinnamyloxy group, a naphthylmethyloxy group, a phenoxymethyl group, a hydroxymethyl 10 group, a hydroxyethyl group, a lower alkylthio group having 1 to 4 carbon atoms, a lower alkylsulfinyl group having 1 to 4 carbon atoms, a lower alkylsulfonyl group having 1 to 4 carbon atoms, a benzylthio group, an acetyl group, a nitro group or a cyano group;
R
2 is a hydrogen atom, a halogen atom, a trihalomethyl group, a lower 15 alkoxy group having 1 to 4 carbon atoms, a lower alkyl group having 1 to 7 carbon atoms, a phenethyl group or a benzyloxy group; R 3 is a hydrogen atom, a halogen atom, a trifluoromethyl group, a lower alkoxygroup having 1 to 4 carbon atoms, a hydroxy group, a benzyloxy group, a lower alkyl group having 1 to 7 carbon atoms, a phenyl 20 group, a lower alkoxymethyl group having 1 to 4 carbon atoms or a lower alkylthio group having 1 to 4 carbon atoms; X is O, S, SO or S02; and n is an integer from 1 to 4], or a pharmaceutically acceptable salt or hydrate thereof. 5 [0010] 2) The therapeutic or prophylactic agent for an inflammatory bowel disease according to 1), wherein the compound represented by the chemical formula (1) is 5 2-amino-2-[4-(3-benzyloxyphenylthio)-2-chlorophenyl]ethyl-l, 3 propanediol. [0011] 3) The therapeutic or prophylactic agent for an inflammatory bowel disease according to 1), wherein the compound represented 10 by the chemical formula (1) is a hydrochloride of 2-amino-2-[4-(3-benzyloxyphenylthio)-2-chlorophenyl]ethyl-l,3 propanediol. 4) The therapeutic or prophylactic agent for an inflammatory bowel disease according to 1) to 3), wherein the inflammatory bowel 15 disease is Crohn's disease, Crohn's disease in large intestine, intestinal Behcet's disease, ulcerative colitis, bleeding rectal ulcer, or pouchitis. [0012] 5) Amethod for treating an inflammatory bowel disease, using 20 as an active ingredient a 2-amino-1,3-propanediol derivative represented by the chemical formula (1): [0013] (Chemical formula 2) 6 R X (CH) H(1) [0014] [wherein R is a halogen atom, a trihalomethyl group, a hydroxy group, a lower alkyl group having 1 to 7 carbon atoms, a substituted or 5 unsubstituted phenyl group, an aralkyl group, a lower alkoxy group having 1 to 4 carbon atoms, .a trifluoromethyloxy group, a phenoxy group, a cyclohexylmethyloxy group, a substituted or unsubstituted aralkyloxy group, a pyridylmethyloxy group, a cinnamyloxy group, a naphthylmethyloxy group, a phenoxymethyl group, a hydroxymethyl 10 group, a hydroxyethyl group, a lower alkylthio group having 1 to 4 carbon atoms, a lower alkylsulfinyl group having 1 to 4 carbon atoms, a lower alkylsulfonyl group having 1 to 4 carbon atoms, a benzylthio group, an acetyl group, a nitro group or a cyano group;
R
2 is a hydrogen atom, a halogen atom, a trihalomethyl group, a lower 15 alkoxy group having 1 to 4 carbon atoms, a lower alkyl group having 1 to 7 carbon atoms, a phenethyl group or a benzyloxy group; R 3 is a hydrogen atom, a halogen atom, a trifluoromethyl group, a lower alkoxygroup having 1 to 4 carbon atoms, a hydroxygroup, abenzyloxy group, a lower alkyl group having 1 to 7 carbon atoms, a phenyl 20 group, a lower alkoxymethyl group having 1 to 4 carbon atoms or a lower alkylthio group having 1 to 4 carbon atoms; X is O, S, SO or SO2; and n is an integer from 1 to 4], or a pharmaceutically acceptable salt or hydrate thereof. 7 [0015] 6) The method for treating an inflammatory bowel disease according to 5), wherein the inflammatory bowel disease is Crohn's disease, Crohn's disease in large intestine, intestinal Behcet's 5 disease, ulcerative colitis, bleeding rectal ulcer, or pouchitis. [0016] 7) A therapeutic or prophylactic agent for an inflammatory bowel disease, comprising a 2-amino-l,3-propanediol derivative represented by the general formula (1): 10 [0017] (Chemical formula 3) R"a X (CHn H (1) [0018] [wherein R is a halogen atom, atrihalomethyl group, a hydroxy group, 15 a lower alkyl group having 1 to 7 carbon atoms, a substituted or unsubstituted phenyl group, an aralkyl group, a lower alkoxy group having 1 to 4 carbon atoms, a trifluoromethyloxy group, a phenoxy group, a cyclohexylmethyloxy group, a substituted or unsubstituted aralkyloxy group, a pyridylmethyloxy group, a cinnamyloxy group, 20 a naphthylmethyloxy group, a phenoxymethyl group, a hydroxymethyl group, a hydroxyethyl group, a lower alkylthio group having 1 to 4 carbon atoms, a lower alkylsulfinyl group having 1 to 4 carbon atoms, a lower alkylsulfonyl group having 1 to 4 carbon atoms, a 8 benzylthio group, an acetyl group, a nitro group or a cyano group;
R
2 is a hydrogen atom, a halogen atom, a trihalomethyl group, a lower alkoxy group having 1 to 4 carbon atoms, a lower alkyl group having 1 to 7 carbon atoms, a phenethyl group or a benzyloxy group; R 3 is 5 a hydrogen atom, a halogen atom, a trifluoromethyl group, a lower alkoxygrouphaving 1 to 4 carbon atoms, a hydroxy group, a benzyloxy group, a lower alkyl group having 1 to 7 carbon atoms, a phenyl group, a lower alkoxymethyl group having 1 to 4 carbon atoms or a lower alkylthio group having 1 to 4 carbon atoms; X is 0, S, SO 10 orSO 2 ; andnisanintegerfromlto4] orapharmaceuticallyacceptable salt or hydrate thereof, in combination of at least one therapeutic agent for an inflammatory bowel disease. [0019] 8) The therapeutic or prophylactic agent for an inflammatory 15 bowel disease according to 7), wherein the at least one therapeutic agent for an inflammatory bowel disease comprises a sulfasalazine, a steroid, or an immunosuppressor. ADVANTAGES OF THE INVENTION [0020] 20 According to the present invention, there is provided a therapeutic or prophylactic agent for inflammatory bowel diseases that contains, as an active ingredient, a diarylsulfide or diaryletherderivative having a 2-amino-1,3-propanediol structure, or a pharmaceutically acceptable salt or hydrate thereof. The 25 diarylsulfide or diarylether derivative acts as a 9 sphingosine-l-phosphate receptor agonist. There is also provided a method for treating or preventing inflammatory bowel diseases, including Crohn's disease, Crohn's disease in large intestine, intestinal Behcet's disease, ulcerative colitis, bleeding rectal 5 ulcer, or pouchitis. BEST MODE FOR CARRYING OUT THE INVENTION [0021] The 2-amino-l,3-propanediol derivatives of the present invention are sphingosine-l-phosphate receptor agonists and 10 comprise a group of compounds represented by the chemical formula (1) and pharmaceutically acceptable salts and hydrates thereof: [0022] (Chemical formula 4) (CH2 H ( 1 )
H
2 15 [0023] [whereinR 1 is a halogen atom, a trihalomethyl group, a hydroxy group, a lower alkyl group having 1 to 7 carbon atoms, a substituted or unsubstituted phenyl group, an aralkyl group, a lower alkoxy group having 1 to 4 carbon atoms, a trifluoromethyloxy group, a phenoxy 20 group, a cyclohexylmethyloxy group, a substituted or unsubstituted aralkyloxy group, a pyridylmethyloxy group, a cinnamyloxy group, a naphthylmethyloxy group, a phenoxymethyl group, a hydroxymethyl group, a hydroxyethyl group, a lower alkylthio group having 1 to 10 4 carbon atoms, a lower alkylsulfinyl group having 1 to 4 carbon atoms, a lower alkylsulfonyl group having 1 to 4 carbon atoms, a benzylthio group, an acetyl group, a nitro group or a cyano group;
R
2 is a hydrogen atom, a halogen atom, a trihalomethyl group, a lower 5 alkoxy group having 1 to 4 carbon atoms, a lower alkyl group having 1 to 7 carbon atoms, a phenethyl group or a benzyloxy group; R 3 is a hydrogen atom, a halogen atom, a trifluoromethyl group, a lower alkoxygrouphaving 1 to 4 carbon atoms, a hydroxy group, abenzyloxy group, a lower alkyl group having 1 to 7 carbon atoms, a phenyl 10 group, a lower alkoxymethyl group having 1 to 4 carbon atoms or a lower alkylthio group having 1 to 4 carbon atoms; X is O, S, SO or SO 2 ; and n is an integer from 1 to 4]. [0024] The term "halogen atom" in the chemical formula (1) of the 15 presentinventionincludesafluorineatom, achlorineatom, abromine atom and an iodine atom. The term "trihalomethyl group" includes atrifluoromethylgroupandatrichloromethylgroup. Theterm"lower alkyl group having 1 to 7 carbon atoms" includes straight-chained or branched hydrocarbons having 1 to 7 carbon atoms, such as methyl, 20 ethyl, propyl, isopropyl, butyl, t-butyl, pentyl, hexyl andheptyl. [0025] Theterm"substitutedorunsubstitutedphenoxygroup" includes those in which the benzene ring has at any position a halogen atom, such as a fluorine atom, a chlorine atom, a bromine atom and an 25 iodine atom, a trifluoromethyl group, a lower alkyl group having 11 1 to 4 carbon atoms or a lower alkoxy group having 1 to 4 carbon atoms. Theterm"aralkylgroup" asin"aralkyl group" and"aralkyloxy group" includes a benzyl group, a diphenylmethyl group, a phenethyl group and phenylpropyl group. The term"lower alkyl group"in"lower 5 alkoxy group having 1 to 4 carbon atoms," "lower alkylthio group having 1 to 4 carbon atoms," "lower alkylsufinyl group having 1 to 4 carbon atoms," and "lower alkylsulfonyl group having 1 to 4 carbon atoms" includes straight-chained or branched hydrocarbons having 1 to 4 carbon atoms, such as methyl, ethyl, propyl, isopropyl 10 and butyl. The term "substituted or unsubstituted aralkyl group" includes those in which the benzene ring has at any position a halogen atom, such as a fluorine atom, a chlorine atom, a bromine atom and an iodine atom, a trifluoromethyl group, a lower alkyl group having 1 to 4 carbon atoms or a lower alkoxy group having 1 to 4 carbon 15 atoms. [0026] Examples of pharmaceutically acceptable salts of the compound of the chemical formula (1) of the present invention include acid-additionsaltssuchashydrochlorides, hydrobromides, acetates, 20 trifluoroacetates, methanesulfonates, citrates and tartrates. [0027] More specific examples of the compound of the general formula (1) are 2-amino-2-[4-(3-benzyloxyphenylthio)-2-chlorophenyl]ethyl-l,3 25 propanediol and hydrochlorides thereof. 12 [0028] The compounds of the general formula (1) of the present invention are described in, for example, W003/029184 pamphlet and W003/029205 pamphlet and can be produced by techniques described 5 in these publications. [0029] The thus-obtained compounds of the present invention or pharmaceutically acceptable salts and hydrates thereof are useful in the treatment of inflammatory bowel diseases. The therapeutic 10 agents of the present invention are administered systemically or topically and orally or parenterally. The compounds may be formulated as oral or parenteral preparations depending on their properties. Specifically, the active ingredients may be mixed with pharmaceutically acceptable carriers, excipients, binders, 15 diluents or other auxiliary agents and formulated as granules, powders, tablets, capsules, syrups, suppositories, suspensions, solutions and other dosage forms. While the compounds may be administered in different doses depending on their use, the weight, age and conditions of the patients, they are typically administered 20 in a single dose of 0.01 to 100mg/patient, preferably at a single dose of 0.1 to 5mg/patient, once to three times a day. [0030] These preparations may be used in combination with at least one drug used to treat inflammatory bowel diseases. Examples of 25 such drugs include sulfasalazines, steroids and immunosuppressors. 13 Examples of sulfasalazines include mesalazine, olsalazine, sulfasalazine and balsalazide. Examples of steroids include hydrocortisone, methylprednisolone, budesonide and betamethasone phosphate. Examples of immunosuppressors include azathioprine, 5 6-mercaptopurine, cyclosporine, tacrolimus, anti-TNF-a antibody and anti-a4 integrin antibody. [0031] Examples The present invention will now be described with reference 10 to examples. While these examples primarily concern 2-amino-2-[4-(3-benzyloxyphenylthio)-2-chlorophenyl]ethyl-1,3 propanediol hydrochloride (which may be referred to as "KRP-203," hereinafter), one of the compounds represented by the chemical formula (1), other compounds are also encompassed by the present 15 invention and the scope of the invention is by no means limited by these examples. Example 1 [0032] Therapeutic effects on dextran sodium sulfate-induced colitis in 20 mice Colitis was induced in BALB/C male mice by allowing animals todrinka5%aqueoussolutionofdextransodiumsulfate (DSS) (average molecular weight = 5000) for 7 days [Kitajima, S. et. al., ExpAnim, Vol.49, No.1: 9-15 (2000)]. KRP-203 dissolved in distilled water 25 (at 0.01, 0.03 and 0.1 mg/kg) was orally administered once a day 14 for8 days, starting thedaybeforetheadministrationof DSSsolution. One group was administered distilled water as a placebo. [0033] 8 days afterthe start ofthe DSSperiod, mice were anesthetized 5 withdiethyletherandsacrificedbycervicaldislocation. Thelarge intestine (the segment from colon to anus) was removed from each animal. Becauseitis knownthattheingestionofDSSsolutioncauses colitisinmicethatcauses a decreaseinthelengthoflargeintestine [Okayasu, I. et. al., Gastroenterology, Vol.98: 694-702 (1990)], 10 the length of the large intestine from the colon to anus was measured with a caliper. The large intestine was then cut open longitudinally to expose the lumen and the content was washed off with physiological saline. The specimens were assayed and compared for the activity of myeloperoxidase, a marker of inflammation in colitis [Grisham, 15 MB. et. al., Methods Enzymol, Vol.186: 729-742 (1990)]. [0034] The comparison of the length of large intestine is shown in Table 1. The results indicate that KRP-203 significantly reduced the colitis-induced decrease in the length of large intestine. 20 [0035] 15 Table 1: Reduction of the decrease in the length of large intestine by KRP-203 Length of large intestine Groups tested Number of Samples Length of large intestine Placebo group 8 64. 7 1. 7" 0.01mg/kg KRP-203 group 10 67. 4 ± 1.4 0.03mg/kg KRP-203 group 10 72.7 1. 5"** 0.1mg/kg KRP-203 group 9 71.4 + 1.4' Normal group 4 84. 7 2. 2 Data are given in average ± standard error. ## : p(0. 01 (Student's t-test on normal group) S: p<0. 05 (Dunnett's test on placebo group) t* : p0. 01 (Dunnett's test on placebo group) [0036] The results of the assay for myeloperoxidase activity in large intestine are shown in Table 2. The results indicate that KRP-203 5 significantly reduced the colitis-induced increase in the myeloperoxidase activity in large intestine. [0037] Table 2: Suppression of the increase in myeloperoxidase activity in large intestine by KRP-203 myeloperoxidase activity Groups tested Number of Samples (UJ/g protein) Placebo group 8 108. 2 ± 20. 7" 0.01mg/kg KRP-203 group 10 55. 8 ± 16.2' 0.03mg/kg KRP-203 group 10 36.8 ± 5.9" 0.1mg/kg KRP-203 group 9 44. 4 ± 6. 4" Normal group 4 5.0 ± 0.1 Data are given in average t standard error. I# : p(0. 01 (Aspin-Welch's t-test on normal group) : p(<0.05 (Dunnett's test on placebo group) ** : p<0. 01 (Dunnett's test on placebo group) 16 [0038] DDS-induced colitis in mice is frequently used as a disease model of inflammatory bowel diseases in humans [Elson, CO. et. al., Gastroenterology, Vol.109: 1344-1367 (1995); Hibi, T. et. al., J 5 Gastroenterol, Vol.37: 409-417 (2002)]. Thus, these results demonstrate the usefulness of KRP-203 in the treatment of inflammatory bowel diseases. Example 2 [0039] 10 Comparative Example Several drugs are used in the treatment of inflammatorybowel diseases. Immunosuppressors, drugs used to-prevent rejection in organ transplantation, are one such option. As with'KRP-203, two representative immunosuppressors cyclosporine and ta rolimus were 15 examined for their effects. [0040] Cyclosporinewas dissolved in soybean oil (at 10 and 30 mg/kg) and was orally administered once a day for 8 days, starting the day before the start 6f the DSS period. One group was a*ministered 20 soybean oil as a placebo. The increase in the myeloperoxidase activity in large intestine was suppressed by 54% in the 10mg/kg group and by 73% in the 30mg/kg group as compared to the placebo group. [0041] 25 Tacrolimus was suspended in a 0.5% aqueous solution of 17 carboxymethylcellulose sodium (CMC-Na)(at 3 mg/kg) and was administered once a day for 8 days, starting the day before the start of the DSS period. One group was administered 0.5% aqueous CMC-Na solution as a placebo. The increase in the myeloperoxidase 5 activity in large intestine was suppressed by 37% in the 3mg/kg group as compared to the placebo group. [0042] The effect on DDS-induced colitis in mice was then compared between cyclosporine and tacrolimus, two representative 10 immunosuppressors, and KRP-203: The increase in the myeloperoxidase activity in large intestine was suppressed by administration of KRP-203by51% in the 0.01mg/kggroup, by 69% in the 0.03mg/kggroup, and by 62% in the 0.1mg/kg group as compared to the placebo group (Table 2). These results suggest that lesser doses of KRP-203 have 15 a comparable or greater therapeutic effect on inflammatory bowel diseases than cyclosporine and tacrolimus. Example 3 [0043] Effect of KRP-203 on IL-10 knockout mice 20 B6.129P2-IL10<tmcgn>/J (IL-10 knockout) mice (male, 5-6 week old) were obtained for the test. KRP-203 dissolved in distilled water was orally administered at a dose of 0.1mg/kg once a day for 4weeks, starting 8 weeks after the animals were obtained. One group was administered distilled water alone as a placebo. Following the 25 administration period, the animals were dissected to remove large 18 intestine, which was then fixed in formalin. Subsequently, tissue slices were prepared from the formalin-fixed large intestine and were stained with hematoxylin and eosin. The proximal, middle, and distal segments of the large intestine were then histologically 5 scored according to the standard procedure (BergDJ, et al., Gastroenterology, 123:1527-1542 (2002)). The scores for the three segments were added together to determine the histological scores for individual animals. The results are given in average ± standard error. 10 [0044) As shown in Table 3, the histological score was significantly lower in the group administered KRP-203 than in the placebo group, a demonstration that KRP-203 reduces colitis in IL-10 knockout mice. These results suggest that the test compound KRP-203 is effective 15 in the treatment of inflammatory bowel diseases. [0045] Table3:HiStological Score Groupstested NumberofSamples Histological Score Placebo group 8 4.1±1.3 KRP-203 group 8 0. 3±0.2' $*; p<0.05 VS placebo group (Mann-Whitney's test) Example 4 [0046] 20 Preparation Example : Capsule preparation (in one capsule) Composition 19 Compound (KRP-203) 0.1 mg D-mannitol 247.5 mg Magnesium stearate 2.5 mg Specifically, the compound of the present invention was mixed 5 with D-mannitol. Magnesiumstearatewas thenblended in themixture to form a powdery mixture. This mixture was packaged in a capsule to make a capsule preparation. INDUSTRIAL APPLICABILITY [0047] 10 As set forth, the compound of the present invention proved highly effective in a disease model of inflammatory bowel diseases in humans and caused a significant reduction in the tissue lesion in knockout mice. Thus, the 2-amino-1,3-propanediol derivatives of the present invention and pharmaceutically acceptable salts and 15 hydrates thereof are useful in the treatment or prevention of inflammatory bowel diseases. Accordingly, the present invention provides a therapeutic and prophylactic agent for inflammatory bowel diseases including Crohn's disease, Crohn's disease in large intestine, intestinal Behcet's disease, ulcerative colitis, 20 bleeding rectal ulcer andpouchitis, as well as amethod for treating or preventing these diseases. 20

Claims (8)

1. A therapeutic or prophylactic agent for an inflammatory bowel disease containing, as an active ingredient, a 5 2-amino-1,3-propanediol derivative represented by the chemical formula (1): (Chemical formula 1) R, - X (CH, n H [wherein R is a halogen atom, a trihalomethyl group, ahydroxy group, 10 a lower alkyl group having 1 to 7 carbon atoms, a substituted or unsubstituted phenyl group, an aralkyl group, a lower alkoxy group having 1 to 4 carbon atoms, a trifluoromethyloxy group, a phenoxy group, a cyclohexylmethyloxy group, a substituted or unsubstituted aralkyloxy group, a pyridylmethyloxy group, a cinnamyloxy group, 15 a naphthylmethyloxy group, a phenoxymethyl group, a hydroxymethyl group, a hydroxyethyl group, a lower alkylthio group having 1 to 4 carbon atoms, a lower alkylsulfinyl group having 1 to 4 carbon atoms, a lower alkylsulfonyl group having 1 to 4 carbon atoms, a benzylthio group, an acetyl group, a nitro group or a cyano group; 20 R 2 is a hydrogen atom, a halogen atom, a trihalomethyl group, a lower alkoxy group having 1 to 4 carbon atoms, a lower alkyl group having 1 to 7 carbon atoms, a phenethyl group or a benzyloxy group; R 3 is a hydrogen atom, a halogen atom, a trifluoromethyl group, a lower 21 alkoxygrouphaving 1 to 4 carbon atoms, a hydroxygroup, abenzyloxy group, a lower alkyl group having 1 to 7 carbon atoms, a phenyl group, a lower alkoxymethyl group having 1 to 4 carbon atoms or a lower alkylthio group having 1 to 4 carbon atoms; X is O, S, SO 5 or SO 2 ; and n is an integer from 1 to 4], or a pharmaceutically acceptable salt or hydrate thereof.
2. The therapeuticorprophylacticagent for aninflammatorybowel disease according to claim 1, wherein the compound represented by the chemical formula (1) is 10 2-amino-2-[4-(3-benzyloxyphenylthio)-2-chlorophenyl]ethyl-l,3 propanediol.
3. The therapeuticorprophylacticagent for aninflammatorybowel disease according to claim 1, wherein the compound represented by the chemical formula (1) is a hydrochloride of 15 2-amino-2-[4-(3-benzyloxyphenylthio)-2-chlorophenyl]ethyl-1,3 propanediol.
4. The therapeuticorprophylacticagent for aninflammatorybowel diseaseaccordingtoanyoneof claims 1 to3, whereinthe inflammatory boweldiseaseisCrohn'sdisease, Crohn'sdiseaseinlargeintestine, 20 intestinal Behcet's disease, ulcerative colitis, bleeding rectal ulcer, or pouchitis.
5. A method for treating an inflammatory bowel disease, using, as an active ingredient, a 2-amino-l,3-propanediol derivative represented by the chemical formula (1): 25 (Chemical formula 2) 22 R, X (CH O H(1) [wherein R 1 is a halogen atom, a trihalomethyl group, a hydroxy group, a lower alkyl group having 1 to 7 carbon atoms, a substituted or unsubstituted phenyl group, an aralkyl group, a lower alkoxy group 5 having 1 to 4 carbon atoms, a trifluoromethyloxy group, a phenoxy group, a cyclohexylmethyloxy group, a substituted or unsubstituted aralkyloxy group, a pyridylmethyloxy group, a cinnamyloxy group, a naphthylmethyloxy group, a phenoxymethyl group, a hydroxymethyl group, a hydroxyethyl group, a lower alkylthio group having 1 to 10 4 carbon atoms, a lower alkylsulfinyl group having 1 to 4 carbon atoms, a lower alkylsulfonyl group having 1 to 4 carbon atoms, a benzylthio group, an acetyl group, a nitro group or a cyano group; R 2 is a hydrogen atom, a halogen atom, a trihalomethyl group, a lower alkoxy group having 1 to 4 carbon atoms, a lower alkyl group having 15 1 to 7 carbon atoms, a phenethyl group or a benzyloxy group; R 3 is a hydrogen atom, a halogen atom, a trifluoromethyl group, a lower alkoxygrouphaving 1 to 4 carbon atoms, a hydroxy group, abenzyloxy group, a lower alkyl group having 1 to 7 carbon atoms, a phenyl group, a lower alkoxymethyl group having 1 to 4 carbon atoms or 20 a lower alkylthio group having 1 to 4 carbon atoms; X is O, S, SO or SO 2 ; and n is an integer from 1 to 4], or a pharmaceutically acceptable salt or hydrate thereof.
6. The method fortreatinganinflammatoryboweldiseaseaccording 23 toclaim 5, whereintheinflammatoryboweldisease isCrohn'sdisease, Crohn's disease in large intestine, intestinal Behcet's disease, ulcerative colitis, bleeding rectal ulcer, or pouchitis.
7. A therapeutic or prophylactic agent for an inflammatory bowel 5 disease, comprising a 2-amino-l,3-propanediol derivative represented by the general formula (1): (Chemical formula 3) R, X (CRH3 [wherein Ri is a halogen atom, a trihalomethyl group, a hydroxy group, 10 a lower alkyl group having 1 to 7 carbon atoms, a substituted or unsubstituted phenyl group, an aralkyl group, a lower alkoxy group having 1 to 4 carbon atoms, a trifluoromethyloxy group, a phenoxy group, a cyclohexylmethyloxygroup, a substituted or unsubstituted aralkyloxy group, a pyridylmethyloxy group, a cinnamyloxy group, 15 a naphthylmethyloxy group, a phenoxymethyl group, a hydroxymethyl group, a hydroxyethyl group, a lower alkylthio group having 1 to 4 carbon atoms, a lower alkylsulfinyl group having 1 to 4 carbon atoms, a lower alkylsulfonyl group having 1 to 4 carbon atoms, a benzylthio group, an acetyl group, a nitro group or a cyano group; 20 R 2 is a hydrogen atom, a halogen atom, a trihalomethyl group, a lower alkoxy group having 1 to 4 carbon atoms, a lower alkyl group having 1 to 7 carbon atoms, a phenethyl group or a benzyloxy group; R 3 is a hydrogen atom, a halogen atom, a trifluoromethyl group, a lower 24 alkoxygrouphaving 1 to 4 carbon atoms, ahydroxygroup, abenzyloxy group, a lower alkyl group having 1 to 7 carbon atoms, a phenyl group, a lower alkoxymethyl group having 1 to 4 carbon atoms or a lower alkylthio group having 1 to 4 carbon atoms; X is 0, S, SO 5 orSO2;andnisanintegerfrom1to 4 ] orapharmaceuticallyacceptable salt or hydrate thereof, in combination of at least one therapeutic agent for an inflammatory bowel disease.
8. Thetherapeuticorprophylacticagent foran inflammatorybowel disease according to claim 7, wherein the at least one therapeutic 10 agent for an inflammatory bowel disease comprises a sulfasalazine, a steroid, or an immunosuppressor. 25
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PL1982708T3 (en) 2015-03-31
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